| NPI | 1720317803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7387) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 22424) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-23 |